CROSSROADS TO RECOVERY (NPI# 1407293012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407293012 |
| Entity Type | Organization |
| Organization Name | CROSSROADS TO RECOVERY |
| Other Organization Name | CHRISTINE L. EDDY |
| Practice Address |
325 S 5th St Klamath Falls OR 97601-6107 |
| Practice Telephone | 5418827111 |
| Practice Fax Number | 5418827111 |
| Mailing Telephone | 5418827111 |
| Mailing Fax Number | 5418827111 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | CHRISTINE L EDDY (OWNER) |
| Authorized Official Telephone | 5418827111 |
| Authorized Official Credential | LCSW, CADCII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
04-03-42 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BCBS OAID # | 036941 | 01 |
| Other Name | Type Code |
|---|---|
| Christine L. Eddy | Doing Business As Name - Organization |
| Street Address |
325 S 5TH ST |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366513616 | Cynthia Bourgeau | Social Worker | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2006-11-10 |
| 1962038901 | Siskiyou Counseling | Community/Behavioral Health | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2020-03-22 |
| 1679134548 | Jolene R Cady | Counselor | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2019-06-21 |
| 1336549757 | Tamie Alvarez | Social Worker | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2014-09-04 |
| 1528305000 | Sarah Kathryn Allen | Social Worker | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2013-01-03 |
| 1053656249 | Suvendrini H. C. Christopher-schuhmann | Counselor | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2012-11-29 |
| 1235450511 | Christine Louise Eddy | Social Worker | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2010-06-21 |
| 1912238122 | Clytie June Ring | Counselor | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2010-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522663 | Red Is The Road To Wellness (rrw) | Counselor | 3206 Onyx Ave, Klamath Falls, OR 97603-7279 | 2020-09-10 |
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1588115364 | James Leroy Yahne | Counselor | 5728 S 6th St Ste C, Klamath Falls, OR 97603-5108 | 2016-10-17 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1316238322 | Joni L. Townsend | Counselor | 121 Iowa St, Klamath Falls, OR 97601 | 2011-04-25 |
| 1982901120 | Sonja Ann Wilder | Counselor | 3647 Highway 39, Klamath Falls, OR 97603-2612 | 2011-02-24 |
| 1154633378 | Lisa Duvall-baker | Counselor | 2555 Main St, Klamath Falls, OR 97601-2723 | 2010-07-02 |
| 1619208337 | Derwin Decker | Counselor | 3949 South 6th Street, Klamath Falls, OR 97603-4746 | 2010-01-20 |
| 1538496518 | Inside Out Counseling Sservice | Counselor | 1421 Esplanade Ave, #7, Klamath Falls, OR 97601-5956 | 2009-11-11 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
Please comment or provide details below to improve the information on CROSSROADS TO RECOVERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.